Organization
MOTHER SHIP LLC
Active
Other names
Manson Dental, Moffitt Dental Center, Moffitt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MOFFITT (PRACTICE ADMINISTRATOR)
(515) 448-4852
Entity
Organization
Contact information
Practice address
322 S COMMERCIAL AVE, EAGLE GROVE, IA 50533-2210
(515) 448-4852
(515) 448-3533
Mailing address
322 S COMMERCIAL AVE, EAGLE GROVE, IA 50533-2210
(515) 448-4852
(515) 448-3533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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